[an error occurred while processing this directive]
护理研究

规范化血液透析安装预冲质量改进的多中心研究

  • 梁俊卿 ,
  • 王颖 ,
  • 马思慧 ,
  • 丁红 ,
  • 王秀荣 ,
  • 郭萍 ,
  • 平金超 ,
  • 甘良英 ,
  • 左力 ,
  • 王梅
展开
  • 1北京大学人民医院肾内科血液净化中心
    2北京市潞河医院血液净化中心
    3北京市密云区医院血液净化中心
    4北京大学国际医院血液净化中心
    5北京市石景山区医院血液净化中心
    6北京航空总医院血液净化中心
    7中国康复研究中心北京博爱医院血液净化中心
    8北京市昌平区医院血液净化中心
    9北京市垂杨柳医院血液净化中心
    10北京市西城区展览路医院血液净化中心
    11胶东白求恩血液净化中心

收稿日期: 2019-11-19

  修回日期: 2020-03-01

  网络出版日期: 2020-05-12

基金资助

北京市科技计划项目,课题号:2107000084,基金批准号Z131107002213122

Quality improvement of standardized hemodialysis installation and pre- flush: a multicenter study

  • LIANG Jun-Qing ,
  • WANG Ying ,
  • MA Si-Hui ,
  • DING Hong ,
  • WANG Xiu-Rong ,
  • GUO Ping ,
  • PING Jin-Chao ,
  • GAN Liang-Ying ,
  • ZUO Li ,
  • WANG Mei
Expand
  •  1Center of Blood Purification, Department of Nephrology, Peking University People’s Hospital, Beijing 100044, China;  2Center of Blood Purification, Beijing Luhe Hospital, Beijing 101149, China;  3Center of Blood Purification, Miyun District Hospital, Beijing 101500, China;  4Center of Blood Purification, Peking University International Hospital, Beijing 102200, China;  5Center of Blood Purification, Shijingshan District Hospital, Beijing 100043, China; 6Center of Blood Purification, Beijing Aviation General Hospital, Beijing 100012, China; 7Center of Blood Purification, Beijing Bo'ai Hospital, China Rehabilitation Research Center,Beijing 100068, China; 8Center of Blood Purification, Changping District Hospital, Beijing 102200, China; 9Center of Blood Purification, Chuiyangliu Hospital, Beijing 100022, China; 10Center of Blood Purification, Xicheng District Zhanlan Road Hospital, Beijing 100044, China;  11Jiaodong Bethune Center of Blood Purification, Jiaozhou 266300, China,

Received date: 2019-11-19

  Revised date: 2020-03-01

  Online published: 2020-05-12

摘要

【摘要】目的应用规范化血液透析管路安装预冲质量表提升管路安装预冲环节的护理质量。方法设计规范化安装预冲质量控制表,根据该质量控制内容对11 家血液透析联合体机构进行调查、培训,并采用该质量控制表作为护理质量改进的评估工具,在培训前后对各家透析单位的安装预冲进行评估并反馈、讨论。结果预冲时间在质量改进前后无明显变化(t=-0.296,P=0.774),培训前后分别为
(27.05±4.59)min;培训后平均(27.50±4.03)min。质量改进前后各项达标率均有所提高,总得分高于改进前,差异有统计学意义(t=-3.993,P=0.003)。研究单位对该质量控制表的均认为简单、实用。结论采用安装预冲质量控制清单进行培训与评估,具有简便性、实用性,可作为临床护士长针对血液透析安装预冲质量控制的定期评估方法,临床上仍需重视透析管路安装预冲的持续性护理质量改进。

本文引用格式

梁俊卿 , 王颖 , 马思慧 , 丁红 , 王秀荣 , 郭萍 , 平金超 , 甘良英 , 左力 , 王梅 . 规范化血液透析安装预冲质量改进的多中心研究[J]. 中国血液净化, 2020 , 19(05) : 338 -341 . DOI: 10.3969/j.issn.1671-4091.2020.05.014

Abstract

【Abstract】Objective To improve the quality of care in installation and pre-flush for hemodialysis therapy by applying a quality control checklist. Methods A quality control checklist to standardize the installation and pre-flush was designed and used as an evaluation tool to investigate 11 hemodialysis institutions/centers during the priming process. The medical workers in the 11 dialysis centers were then trained according to content in the checklist. The processes of installation and pre-flush of each dialysis unit were evaluated and the efficacy of the training was obtained and discussed after training. Results There was no significant difference in the priming time before and after the quality improvement (27.05 ± 4.59 vs. 27.50 ± 4.03 min; t= -0.296, P=0.774). All of the compliance rates were improved after quality improvement, and the overall score was higher after the training compared to that before the training (t=-3.993, P=0.003). All of the 11 dialysis centers considered that the checklist was quite simple and practical. Conclusion The priming quality control checklist is convenient and practical for training and evaluation. This checklist can be used by the clinical quality managers as a regular evaluation method for the quality control of installation and pre-flush for hemodialysis therapy.

参考文献

[1]郁佩青.2010版血液净化标准操作规程中关于透析器预冲的认识和解读[J].中国血液净化,2013,12(09):520-521.
[2]芦静. 血液透析血路管静脉壶颗粒物形成的调查与相关因素分析[D].浙江大学,2016.
[3]中华护理学会血液透析专业委员会. 血液透析专科护理操作指南(2014年版) [M].人民卫生出版社. 2014.
[4]陈香美主编.血液净化标准操作规程(2010 版)[M]. 第一版. 北京:人民军医出版社,2010:55.
[5]向晶,马志芳,许秋娜等. 不同预冲方法对降低维持性血液透析患者体外循环管路中气泡和微粒污染研究[J].中国血液净化.2010,(9)12:680-681.
[6]Dursun Belda,Unal Sukran,Varan Halil Ibrahim et al. Can a different priming process of the dialyzer affect dialysis adequacy in chronic hemodialysis patients?[J] .Ren Fail, 2004, 26: 155-7.
[7]中华人民共和国卫生部.三级综合医院评审标准实施细则(2011年版)[S].2011.
文章导航

/

[an error occurred while processing this directive]